Clinical manifestations of traumatic cervical disc herniation and MRI changes

Wang Wei-dong; REN Xian-jun; MEI Fang-rui

doi:10.3321/j.issn:1673-8225.2005.22.009

Abstract：BACKGROUND: MRI is generally considered as an important means to diagnose cervical disc herniation.OBJECTIVE: To explore the correlation between clinical manifestations of traumatic cervical disc herniation and MRI changes.DESIGN: A retrospective study.SETTING: Department of Orthopedics, Xinqiao Hospital of Third Military Medical University of Chinese PLA.PARTICIPANTS: We selected 123 patients with traumatic cervical disc herniation who came to the Department of Orthopedics, Xinqiao Hospital of Third Military Medical University of Chinese PLA, for treatment between June 1982 and June 2002. Their clinical manifestations fell into four types:of grade Ⅰ or Ⅱ, 14 of which lost motility with normal or slightly impaired icantly decreased or lost motility of the bilateral upper limbs with myotility of nificantly decreased motility and thignesthesia of the unilateral upper and impaired motility, decreased pain sensation of the lower limb on the opposite side, but with good myotility.METHODS: MRI examination was carried out in 123 cases of traumatic cervical disc herniation.MAIN OUTCOME MEASURES: The correlation between the clinical manifestations of 123 cases and MRI results.RESULTS: The clinical manifestations and MRI information of 123 cases verse-type herniation, clinically manifested as symmetric incomplete as central canal syndrome and significantly decreased or lost motility of the ripheral-type herniation, manifested as nerve root pain of unilateral side as well as pain sensation and thermesthesia on the opposite side.CONCLUSION: MRI typing suggests the segment, position and shape of disc herniation specified, and the 4 types of clinical manifestations indicate the consistency of anatomic location with the corresponding neural disorder.